Individual
JAGADEESH S V KUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
216 E PULASKI HWY, 125, ELKTON, MD 21921-6497
(443) 485-6614
(410) 286-1700
Mailing address
216 E PULASKI HWY, 125, ELKTON, MD 21921-6497
(443) 485-6614
(410) 286-1700
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D67588
MD
207R00000X
Internal Medicine Physician
D67588
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041887163
—
MD
Enumeration date
07/10/2006
Last updated
09/18/2024
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